Provider Demographics
NPI:1629478052
Name:COOK, MELISSA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 MIDDLEFIELD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2858
Mailing Address - Country:US
Mailing Address - Phone:303-257-3234
Mailing Address - Fax:303-794-0408
Practice Address - Street 1:5921 MIDDLEFIELD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2858
Practice Address - Country:US
Practice Address - Phone:303-257-3234
Practice Address - Fax:303-794-0408
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical